MR. MIKHAIL Y IVANOVSKY


Address: 1400 Braden Street, Rebsamen Medical Center, Jacksonville, AR 72076
Phone: 5019857000

MR. MIKHAIL Y IVANOVSKY (NPI# 1598810244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598810244
Entity Type Individual
Full Name MR. MIKHAIL Y IVANOVSKY
Credential MD
Practice Address 1400 Braden Street
Rebsamen Medical Center
Jacksonville
AR 72076
Mailing Address 52 Ranch Ridge Road
Little Rock
AR 72223
Practice Telephone 5019857000
Practice Fax Number 5019857153
Mailing Telephone 5018681755
Mailing Fax Number 5019857153
Enumeration Date 2007-01-24
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology E 3537 AR Allopathic & Osteopathic Physicians

Office Location

Street Address 1400 BRADEN STREET
REBSAMEN MEDICAL CENTER
City JACKSONVILLE
State AR
Zip Code 72076

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NPI Name Taxonomy Address Enumeration
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1376071340 Anne Elizabeth Houtchens Speech-Language Pathologist 2701 Tp White Drive, Jacksonville, AR 72076 2017-06-02
1881140648 Jacksonville North Pulaski School District Local Education Agency (LEA) 1414 West Main, Jacksonville, AR 72076 2016-08-31
1134599772 Jeremiah Melson Fleeman Occupational Therapist 2701 Tpwhite Drive, Jacksonville, AR 72076 2015-09-25
1821424565 Kasey Michele Leeson Social Worker 2520 W. Main St., Jacksonville, AR 72076 2013-09-25
1407104052 Cesalie Deonne Wallace Nurse Practitioner 3000 North First Street, Jacksonville, AR 72076 2012-08-29
1952660995 Joshua Aaron Hill Case Manager/Care Coordinator 2126 N. 1st St Suite F, Jacksonville, AR 72076 2012-05-11
1396023156 Syreeta Tucker Case Manager/Care Coordinator 1109 Burman, Jacksonville, AR 72076 2011-07-28
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Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487203451 Brittany Clark Anesthesiology 220 Riverside Ave Unit 328, Jacksonville, FL 32202-4953 2019-09-11
1093240061 Beric Emilio Berlioz Anesthesiology 4500 San Pablo Rd S # J, Jacksonville, FL 32224 2017-04-26
1699223453 James Dennis Beeson Anesthesiology 9289 Rosewater Lane, Jacksonville, FL 32256 2016-09-21
1598129314 Kaitlin Kamrowski Anesthesiology 653 West 8th Street, Faculty Clinic Building, 3rd Floor, Box Fc-12, Jacksonville, FL 32209 2016-04-07
1487017786 Guy Kositratna Anesthesiology 653 West 8th Street, Jacksonville, FL 32209-6511 2016-04-04
1942603899 Pain Medicine Physicians of Jacksonville, LLC Anesthesiology 10250 Normandy Boulevard, Suite 702, Jacksonville, FL 32221 2014-10-07
1063707784 Chase Alan Kissling Anesthesiology Attn: Dmhrsi Team Bldg H 2005 Knight Lane, Navy Medicine Support Command, Jacksonville, FL 32212-0140 2011-06-10
1770804916 Michael George Zakaroff Anesthesiology 2005 Knight Lane Bldh H, Navy Medicine Support Command Attn: Medical Staff Servi, Jacksonville, FL 32212-0140 2010-06-22
1427283522 Darryl Crosswright Hall Anesthesiology 653 W. Eighth St., Faculty Clinic 3rd Floor, Jacksonville, FL 32209 2009-05-19
1578707071 Puja Roy Anesthesiology 8268 Ashworth Ct, Jacksonville, FL 32256-3638 2009-04-28
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City JACKSONVILLE
Zip Code 72076

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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